Individual provider Active NPI

Paz Leos, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1588442743
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047557-01 Issued in NY
Practice address
551 Madison Ave Ste 1201
New York, NY 10022-3390
Phone
(786) 521-1399
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047557-01 NY Primary

Addresses

Primary practice location

551 Madison Ave Ste 1201
New York, NY 10022-3390

Mailing address

243 Lexington Ave
New York, NY 10016-4605
Phone (786) 521-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047557NYMDPharmacist
047557-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Medical PC CurrentSince Nov 22, 2023 Accepting new patients
Brian Mayrsohn MD PLLC PastSince Sep 24, 2023 Accepting new patients

Locations

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1588442743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164605",
            "telephone_number": "786-521-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MADISON AVE STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223390",
            "telephone_number": "786-521-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOS",
        "first_name": "PAZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047557-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.